Autism & Developmental

Sibling relationships when a child has autism: marital stress and support coping.

Rivers et al. (2003) · Journal of autism and developmental disorders 2003
★ The Verdict

Marital stress erodes sibling bonds in autism families—lean on informal supports, not more formal services, to protect these relationships.

✓ Read this if BCBAs doing family-centered work in clinic or home programs.
✗ Skip if Practitioners who only run 1:1 discrete-trial sessions with no parent contact.

01Research in Context

01

What this study did

Rivers et al. (2003) asked parents to fill out surveys. They wanted to know how marital stress and support shape sibling bonds in autism families.

The team looked at moms and dads who had one child with autism and at least one typical child. They measured stress, support, and how the siblings got along.

02

What they found

When mom and dad fought more, brothers and sisters fought more too. Warm chats with friends or relatives softened this link.

Surprise twist: families who used lots of formal services reported more negative sibling acts, not fewer.

03

How this fits with other research

Yorke et al. (2018) pooled many studies and found the same chain: child problems raise parent stress. Wood et al. simply zoomed in on how that stress spills over to siblings.

Mulder et al. (2020) and Amanollahi et al. (2025) later ran real groups for brothers and sisters. Both found the groups helped, backing Wood’s hint that informal support works better than extra paperwork-heavy services.

Perez et al. (2015) added a new piece: siblings who show mild autism traits cope worse only when family stress is high. This extends Wood’s stress idea by showing who is most at risk.

04

Why it matters

You can’t erase marital tension, but you can buffer it. Start a low-key sibling hang-out: board games, pizza, and a teen mentor. Skip the referral maze unless the family truly needs it. One relaxed evening a month protects the sibling bond more than another intake form.

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Invite the neurotypical sibling to pick a 20-minute game to play together after session this week.

02At a glance

Intervention
not applicable
Design
survey
Sample size
50
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Family systems theory was employed to study sibling relationships in 50 families with a child with autism. Typically developing siblings expressed satisfaction with their sibling relationships. Parents were somewhat less positive about the sibling relationship than were the siblings themselves. As hypothesized, stress in the marital relationship was associated with compromised sibling relationships. Informal social support buffered the deleterious effects of marital stress on positive, but not negative, aspects of the sibling relationship. Contrary to predictions, families experiencing high marital stress who sought greater support from formal resources external to the family had typically developing siblings who reported a higher level of negative sibling behaviors than families who sought low levels of formal support. Findings reinforce the importance of considering family context as a contributor to the quality of the sibling relationship.

Journal of autism and developmental disorders, 2003 · doi:10.1023/a:1025006727395